Obituaries

Oscar Friedensohn
B: 1924-07-13
D: 2017-07-25
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Friedensohn, Oscar
Dallas Childress
B: 1945-10-24
D: 2017-07-22
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Childress, Dallas
Arthur Swartz
B: 1936-03-26
D: 2017-07-14
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Swartz, Arthur
William Schecter
B: 1929-04-01
D: 2017-07-13
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Schecter, William
Anthony Morris
B: 1936-07-01
D: 2017-07-03
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Morris, Anthony
Roger Caro
B: 1945-07-05
D: 2017-07-02
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Caro, Roger
Emery Palmquist
B: 1932-09-24
D: 2017-07-02
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Palmquist, Emery
Irving Dupass
B: 1932-06-20
D: 2017-06-29
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Dupass, Irving
Paula Andrews
B: 1960-03-23
D: 2017-06-28
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Andrews, Paula
Anton Halaska
B: 1946-08-18
D: 2017-06-28
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Halaska, Anton
Janet McNicholl
B: 1922-05-21
D: 2017-06-25
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McNicholl, Janet
Mary Forkell
B: 1950-10-22
D: 2017-06-24
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Forkell, Mary
Clyde Cooper
B: 1936-02-02
D: 2017-06-24
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Cooper, Clyde
Vernon Renner
B: 1941-12-28
D: 2017-06-22
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Renner, Vernon
Harry Avogardo
B: 1926-05-15
D: 2017-06-20
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Avogardo, Harry
Juan Santiago
B: 1943-05-03
D: 2017-06-20
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Santiago, Juan
Albert DiBernardo
B: 1935-06-29
D: 2017-06-16
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DiBernardo, Albert
Leonor Rodriguez
B: 1929-01-17
D: 2017-06-15
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Rodriguez, Leonor
Mary Cremona
B: 1938-09-20
D: 2017-06-14
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Cremona, Mary
Suzanne Carr
B: 1940-07-16
D: 2017-06-14
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Carr, Suzanne
Uyen Do
B: 1948-06-02
D: 2017-06-13
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Do, Uyen

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10055 Heritage Farms Rd
Lake Worth, FL 33449
Phone: (561) 967-1200
Fax: (561) 967-1444

Immediate Need

First, let us say that we are so sorry for your loss.

To report a death to Palm Beach National Chapel, please notify us first by phone at (561) 967-1200.

After that call, we will take your loved one into our care and will confirm a time/date for the arrangement conference. If you would prefer to expedite your time with our staff during that arrangement process, you may enter your loved one's basic information in this form below.


I. Informant Information

Full Name of Informant:
Relationship to Deceased:
Informant's Phone Number:
Informant's Email Address:

II. Decedent's Biographical Information

Full Name of Decedent:
Date of Death:
Decedent's Address:
City Name:
State:
Zip Code:
Telephone Number:
Date of Birth:
City of Birth:
State of Birth:
Highest Education Level:
Father's Name:
Father's City of Residence:
Mother's Name:
Mother's City of Residence:
Mother's Maiden Name:
Spouse's Name:
Spouse's Maiden Name:
Survivors' Names/Residence
Preceded Relatives
Occupation:
Industry:
Employer's Name:
Church Membership:
Club Affiliations:

III. Decedent's Military Record

Veteran:
Branch of Service:
Serial Number:
Date Enlisted:
Date of Discharge:
Rank at Discharge:
Time of Military Service:
Military Honors at Graveside:
Flag Preference for Service:

III. Service Preferences

Type of Service:
Visitation Hours:
Casket:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
Casket Preference:
Disposition:
Cemetery Name:
Cemetery Location:

Miscellaneous Notes and Instructions:


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